1- Resident of Emergency Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
2- Department of Emergency Medicine, Tabriz University Of Medical Sciences, Tabriz, Iran. , shams@tbzmed.ac.ir
3- Intern Ship, Tabriz University of Medical Sciences, Tabriz, Iran.
4- Emergency Physician, Sina Hospital,Tabriz University of Medical Sciences, Tabriz, Iran.
Abstract: (7805 Views)
Background: Metabolic acidosis is a fatal finding in trauma patients that complicates the process of resuscitation.
Case: The case was a 37-year-old man with open fracture in both legs and fracture in second lumbar vertebral (L2). The serial arterial blood gas (ABG) test results showed a pH value of 6.7 indicating a very severe and special case of metabolic acidosis. The rate of mortality for such a case was very high. The patient was treated with sodium bicarbonate and successfully revived after four hours post treatment and metabolic acidosis was resolved.
Conclusion: This indicated that bicarbonate administration is useful for very severe cases. The good condition of the patient after survival from the severe academia allowed for extubation.
Type of Study:
Research |
Subject:
General